Jonathan C Blackmore, DO

NPI #1972653269 in Faison, North Carolina

Provider Information

NPI Number: 1972653269
Entity Type: Individual
Name: Jonathan C Blackmore, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jan 11, 2007
Last Updated: Oct 29, 2018

Practice Location

Address: 412 SOUTH EAST CENTER ST
City: Faison
State: North Carolina
ZIP Code: 28341
Phone: (910) 267-1942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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